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RIVERSIDE EYE CENTER PA
NPI 1396427407
Clinic/Center - Ambulatory Surgical in Lewiston, ME

Active since August 07, 2023CLIA 20D2201053 · Waiver
475 LISBON ST, LEWISTON, ME 04240(207) 786-2500(207) 786-2503 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riverside Eye Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE EYE CENTER PA (NPI 1396427407) is a healthcare organization registered as an ambulatory surgical in Lewiston, Maine and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Janice Fournier, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1396427407
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIVERSIDE EYE CENTER PA
Location Address475 LISBON STLewiston, ME 04240-7418
Mailing Address475 Lisbon StLewiston, ME 04240-7418 · (207) 786-2500 · Fax (207) 786-2503
Phone(207) 786-2500
Fax(207) 786-2503
Organization SubpartNo
Authorized OfficialJanice FournierPractice Administrator · (207) 786-1917
Enumeration DateAugust 7, 2023
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1396427407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
475 LISBON ST, Lewiston, ME 04240
Open in Google Maps ↗

Other Names 1

Other NameRiverside Eye Surgery Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2201053

Riverside Eye Center, PA Dba Riverside Eye Surgery Center · Lewiston, ME
Active · expires Nov 17, 2026
CLIA Number20D2201053
Laboratory TypePractitioner Other
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorMartin D. Whitaker
Laboratory Phone(207) 786-2500
Laboratory LocationRiverside Eye Center, PA Dba Riverside Eye Surgery Center475 Lisbon St, Lewiston, ME 04240
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
66 services39 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE ISURGERY
Clinic/Center (Ambulatory Surgical)
475 LISBON ST
LEWISTON, ME 04240
Androscoggin County (207) 786-2500
RIVERSIDE EYE CENTER PA
Ophthalmology
475 LISBON ST
LEWISTON, ME 04240
Androscoggin County (207) 786-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Eye Center PA's NPI number?

The NPI number for Riverside Eye Center PA is 1396427407. It was assigned to this organization in the NPPES registry on August 7, 2023. The provider is also known as Riverside Eye Surgery Center.

Where is Riverside Eye Center PA located?

Riverside Eye Center PA is located at 475 Lisbon St, Lewiston, ME 04240. The listed phone number is (207) 786-2500.

What is Riverside Eye Center PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Riverside Eye Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2201053) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Eye Center PA was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.